Individual
MARCIA E TALBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
733 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6101
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
139545
WI
363L00000X
Nurse Practitioner
Primary
3996
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467775437
—
WI
Enumeration date
03/05/2010
Last updated
04/27/2010
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